Enuresis case sharing

   June 23, 2015, Zuo XX, male, 6 years and 5 months, bedwetting since childhood, aggravated 6 months, bedwetting 4-6 times/night; not easy to wake up, confused; urination; frequent urination during the day, 5-10 minutes to urinate once, with urinary effort and waiting for urination, small abdominal pain after urination; urinary urgency, too late to go to the toilet to wet underwear, 3-4 times/day; usually timid and temperamental, inattentive, poor appetite, bad breath. Bad breath, dry stool. Physical examination, no skin abnormality in the lumbosacral region, external genitalia (-). Auxiliary examination, L5, S1 cryptorchidism, bladder volume 76ml after holding urine, residual 27ml, zinc deficiency, blood lead 96, urinary routine (-). Jinan Children’s Hospital, Department of Tui Na Fan Mei diagnosis: 1. enuresis 2. urinary incontinence 3. urinary frequency 4. occult spina bifida treatment plan: basic treatment, ultrashort wave bladder area, ear acupuncture, acupuncture point injection, zinc glycyrrhiza 1.5mg tid orally. At the 4th time of treatment (June 26), Zuo XX grandmother reported that the frequency of urination during the day improved, urinating 4 times during the day, more urine, no urine pants, no pain in the small abdomen after urination. Bedwetting 1 time at night, easier to wake up than before; treated 5 times. Repeated about 4 weeks. 2017.7.23 Repeated, bedwetting 2 times/month, no daytime urinary frequency, no urgency, no pee pants, bowel movements OK, child did not come. Asked to prescribe medication for treatment. Zinc glycyrrhiza 1.5mg, tid, Zhiqi granules 2g , bid.